Ministry of Health Detects 40 New HIV Cases
[CLOSED] This post is no longer validIn the last six months from ๐๐ฎ๐ป๐๐ฎ๐ฟ๐ ๐๐ผ ๐๐๐ป๐ฒ ๐ฎ๐ฌ๐ฎ๐ฎ, the Ministry of Health has detected ๐ฐ๐ฌ ๐ป๐ฒ๐ ๐๐๐ฉ ๐ฐ๐ฎ๐๐ฒ๐
In the last six months from ๐๐ฎ๐ป๐๐ฎ๐ฟ๐ ๐๐ผ ๐๐๐ป๐ฒ ๐ฎ๐ฌ๐ฎ๐ฎ, the Ministry of Health has detected ๐ฐ๐ฌ ๐ป๐ฒ๐ ๐๐๐ฉ ๐ฐ๐ฎ๐๐ฒ๐ (19 male and 21 female). This is one of the highest cases detected in the six-monthly reports until now. Out of 40 newly diagnosed cases, the majority (70%, n=28) are between the ages of 25-49 years old and 20% (n=8) of them are above fifty years old while 5% are between the ages of 20-24 years and another 5% are below 5 years. Among the new cases, 13 are diagnosed through medical screening, 12 through contact tracing, 10 through Voluntary Counseling and Testing (VCT), and 5 through screening of pregnant mothers attending the Antenatal Care (ANC) services. Out of 40 new cases, 38 of them have contracted HIV through unsafe heterosexual practices and 2 from Mother to Child Transmission (MTCT). Regarding the two MTCT cases, it was learned that both the mothers were found HIV negative during the first ANC visit in 2016 and 2017 respectively. However, these two pregnant mothers may have been exposed to HIV infection after the first HIV test and during the latter stage of their pregnancy (after the first ANC visit, before delivery, or during breastfeeding) and then transmitted it to their children. These mothers went undetected during the later stages of their pregnancy checkups because back then there was no policy of mandatory two-time HIV testing for pregnant mothers. The policy of two-time HIV testing (first visit and before delivery) was introduced in 2018 to prevent such risk of mother-to-child transmission.
The cumulative number of cases reported ๐ณ๐ฟ๐ผ๐บ ๐ญ๐ต๐ต๐ฏ ๐๐ป๐๐ถ๐น ๐๐๐ป๐ฒ ๐ฎ๐ฌ๐ฎ๐ฎ ๐ถ๐ ๐ด๐ฏ๐ฑ (433 male and 402 female). Sporadic cases appeared between 1993 and 2000. From 2000 to 2013, the number of new HIV diagnoses rose from 9 to 51. Since 2013, the case detection has plateaued, fluctuating between 49 and 58 annually. At present, about 628 people are living with HIV (PLHIV) in the country. Out of 628 PLHIV, 608 are on antiretroviral treatment (ART) resulting in 97% treatment coverage among the living cases. Despite the low prevalence of HIV in Bhutan, the need to intensify HIV Counseling and Testing is being accorded high priority by the Royal Government to bridge the current case detection gap of 35.8% of the estimated 1300 HIV cases in the country. The Ministry of Health updates the HIV epidemic in the country every six months and informs the nation through appropriate media channels.
๐ถ๐๐๐๐๐๐๐๐๐ ๐กโ๐ ๐๐ข๐๐๐๐๐ก ๐ป๐ผ๐ ๐๐๐ ๐ ๐๐๐ก๐๐๐ก๐๐๐ ๐๐๐, ๐กโ๐ ๐ป๐๐’๐๐๐ ๐ป๐๐๐๐กโ ๐๐๐๐๐ ๐ก๐๐ ๐ท๐๐ โ๐ ๐ท๐๐โ๐๐ ๐๐๐๐๐๐ ๐ ๐๐๐; “๐ด๐๐กโ๐๐ข๐โ ๐ค๐ ๐๐๐ ๐ ๐ก๐๐ข๐๐๐๐๐๐ ๐ก๐ ๐๐๐๐ ๐กโ๐๐ ๐ ๐ข๐๐ก๐๐ ๐ก๐๐ ๐๐๐ ๐ข๐๐๐๐๐๐๐๐ ๐๐ ๐ ๐๐ฅ๐ข๐๐ ๐๐๐ ๐๐๐ข๐-๐๐๐๐๐๐ก๐๐๐ ๐๐๐๐ก๐๐๐๐ ๐๐ ๐๐๐๐๐๐ ๐๐๐ฃ๐๐๐ ๐ค๐๐กโ ๐ป๐ผ๐ ๐๐ค๐๐๐ ๐ก๐ ๐๐ฅ๐๐ ๐ก๐๐๐ ๐ ๐ก๐๐๐๐ ๐๐๐ ๐๐๐ ๐๐๐๐๐๐๐๐ก๐๐๐, ๐ค๐ ๐๐๐ ๐๐๐๐๐๐ ๐๐๐๐๐ก ๐ ๐ก๐๐๐๐๐ ๐ก๐ ๐๐๐๐๐๐๐๐ ๐กโ๐ ๐๐ข๐๐๐๐๐ก ๐๐๐ ๐ ๐๐๐ก๐๐๐ก๐๐๐ ๐๐๐ ๐๐ 35.8% ๐๐ ๐กโ๐ ๐๐ ๐ก๐๐๐๐ก๐๐ 1300 ๐ป๐ผ๐ ๐๐๐ ๐๐ ๐๐ ๐กโ๐ ๐๐๐ข๐๐ก๐๐ฆ.” ๐ป๐๐’๐๐๐ ๐ฟ๐ฆ๐๐๐๐ ๐๐๐๐๐, “๐ถ๐๐ ๐ ๐๐๐ก๐๐๐ก๐๐๐ ๐๐๐ โ๐๐ ๐๐๐๐ ๐๐๐๐ข๐๐๐ ๐๐๐๐ 47.6% ๐๐ 2019 ๐ก๐ 35.8% ๐๐ ๐ฝ๐ข๐๐ 2022 ๐๐๐ ๐ข๐๐ก๐๐๐ ๐๐ ๐๐ฃ๐๐๐๐๐ ๐๐๐๐ข๐๐ก๐๐๐ ๐๐ฆ 11.8% ๐๐ ๐๐๐ ๐ก ๐๐๐ข๐ ๐ฆ๐๐๐๐ ๐๐ข๐ก ๐๐ก ๐๐ ๐๐๐ก ๐๐๐๐ข๐โ ๐ก๐ ๐๐๐๐ก ๐กโ๐ ๐๐๐ก๐๐๐๐๐ ๐๐๐ ๐๐๐๐๐๐ ๐ก๐๐๐๐๐ก ๐ก๐ ๐๐๐ ๐กโ๐ ๐ด๐ผ๐ท๐ ๐๐๐๐๐๐๐๐ ๐๐ฆ 2030”. ๐ป๐๐’๐๐๐ ๐ฟ๐ฆ๐๐๐๐ ๐๐๐ ๐ ๐๐๐๐ก๐๐๐๐๐ ๐กโ๐๐ก ๐๐ ๐๐๐๐๐ก๐๐๐ ๐ก๐ ๐กโ๐ ๐๐ฅ๐๐ ๐ก๐๐๐ ๐๐๐๐๐๐๐ก๐ฆ-๐๐๐ ๐๐ ๐๐๐ ๐๐๐๐๐๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐ ๐๐๐ฃ๐๐๐๐ , ๐กโ๐ ๐ป๐๐๐๐กโ ๐๐๐๐๐ ๐ก๐๐ฆ โ๐๐ ๐๐๐ ๐ ๐๐๐ก๐๐๐๐ข๐๐๐ ๐ป๐ผ๐ ๐๐๐๐-๐๐๐ ๐ก๐๐๐ (๐ป๐ผ๐๐๐) ๐๐ ๐ ๐๐ฅ โ๐๐โ-๐๐๐ ๐ ๐๐๐ ๐ก๐๐๐๐ก๐ ๐ก๐ ๐๐๐ ๐ข๐๐ ๐๐โ๐๐๐๐๐ ๐๐๐๐๐ ๐ ๐ก๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐ ๐๐๐ฃ๐๐๐๐ ๐๐๐ ๐๐๐๐๐ฆ ๐๐๐๐๐๐๐ ๐๐ ๐๐๐ ๐ก๐๐๐๐ก๐๐๐๐ก. ๐ถ๐๐๐๐๐๐๐๐๐ ๐๐๐กโ๐๐-๐ก๐-๐โ๐๐๐ ๐ก๐๐๐๐ ๐๐๐ ๐ ๐๐๐ ๐๐ ๐ป๐ผ๐, ๐ป๐๐’๐๐๐ ๐ฟ๐ฆ๐๐๐๐ ๐๐ฅ๐๐๐๐๐๐๐ ๐กโ๐๐ก ๐ก๐ ๐๐โ๐๐๐ฃ๐ ๐๐ ๐ด๐ผ๐ท๐-๐๐๐๐ ๐๐๐๐๐๐๐ก๐๐๐ ๐๐๐ ๐๐ข๐ ๐๐๐๐๐๐๐๐ก ๐๐๐กโ๐๐๐ ๐๐ข๐ ๐ก ๐๐ฃ๐๐๐ ๐๐ ๐ก๐ค๐-๐ก๐๐๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐๐ข๐๐๐๐ ๐กโ๐๐๐ ๐๐๐ก๐๐๐ ๐๐๐๐๐๐๐๐๐ฆ ๐๐๐๐๐๐ ๐๐๐ ๐๐ฃ๐๐๐ ๐๐๐ฆ ๐๐๐ ๐๐ฆ ๐๐โ๐๐ฃ๐๐๐ข๐ ๐๐ข๐๐๐๐ ๐๐๐๐๐ ๐ก-๐๐๐๐๐๐๐ ๐ก๐ ๐๐๐๐ฃ๐๐๐ก ๐๐๐กโ๐๐-๐ก๐-๐โ๐๐๐ ๐ก๐๐๐๐ ๐๐๐ ๐ ๐๐๐ ๐๐ ๐ป๐ผ๐. ๐ป๐๐’๐๐๐ ๐ฟ๐ฆ๐๐๐๐ ๐๐๐ ๐ ๐ข๐๐๐๐ ๐๐๐ ๐๐ฅ๐๐๐๐ก๐๐๐ ๐๐๐๐๐๐ก๐ ๐ก๐ ๐ก๐๐๐ ๐๐๐๐๐ก๐๐๐๐๐ ๐๐๐ ๐๐๐๐ ๐๐๐๐๐๐ก๐ฆ ๐๐๐ ๐กโ๐ ๐๐๐๐ฃ๐๐๐ก๐๐๐ ๐๐ ๐๐๐กโ๐๐-๐ก๐-๐โ๐๐๐ ๐ก๐๐๐๐ ๐๐๐ ๐ ๐๐๐ ๐๐ ๐ป๐ผ๐ ๐ก๐ ๐๐๐ ๐ข๐๐ ๐กโ๐๐ก ๐๐ฃ๐๐๐ฆ ๐โ๐๐๐ โ๐๐ ๐ ๐๐๐โ๐ก ๐ก๐ ๐๐ ๐๐๐๐ ๐๐๐๐ ๐๐๐๐ ๐ป๐ผ๐.
The Ministry of Health is currently in the process of carrying out the pre-validation assessment to check Bhutan’s readiness for the triple elimination of Mother-to-Child Transmission of HIV, syphilis and hepatitis B by 2025.
๐๐ ๐กโ๐ ๐๐๐ฃ๐๐๐๐๐ ๐๐๐ ๐๐๐๐๐ ๐ ๐๐๐๐๐๐ก๐ฆ ๐๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐ ๐๐๐ฃ๐๐๐๐ ๐๐ ๐ตโ๐ข๐ก๐๐, ๐กโ๐ ๐๐๐๐๐๐๐๐ก๐๐๐ ๐ท๐๐๐๐๐ก๐๐ ๐๐๐ ๐กโ๐ ๐ท๐๐๐๐๐ก๐๐๐๐ก ๐๐ ๐๐ข๐๐๐๐ ๐ป๐๐๐๐กโ, ๐๐ ๐ ๐๐ฅ๐๐ ๐ฝ๐๐๐ก๐ โ๐ ๐ ๐๐๐: “๐โ๐ ๐๐๐๐๐ ๐ก๐๐ฆ ๐๐ ๐ป๐๐๐๐กโ โ๐๐ ๐๐ฅ๐๐๐๐๐๐ ๐๐ก๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐๐๐๐๐๐๐ ๐๐๐๐ ๐๐๐ฃ๐๐ ๐๐๐๐๐๐ ๐๐๐ ๐๐ก ๐๐ ๐๐ฃ๐๐๐๐๐๐๐ ๐๐ ๐๐๐ ๐กโ๐ โ๐๐๐๐กโ ๐๐๐๐ ๐๐๐๐๐๐๐ก๐๐๐ ๐๐๐๐๐ ๐ ๐กโ๐ ๐๐๐ข๐๐ก๐๐ฆ, ๐ ๐ก๐๐๐๐๐๐๐๐ ๐๐๐๐๐ข๐๐๐ก๐ฆ ๐ก๐๐ ๐ก๐๐๐ ๐๐๐๐ก๐๐ ๐๐๐๐๐๐ โ๐๐๐๐กโ ๐๐๐๐๐๐๐๐ก๐๐๐ ๐๐๐ ๐ ๐๐๐ฃ๐๐๐ ๐๐๐๐ก๐๐ (๐ป๐ผ๐๐ถ) ๐๐ ๐ ๐๐ฅ ๐๐๐๐๐ ๐ข๐๐๐๐ ๐๐๐๐๐ , ๐๐๐๐๐๐ฆ, ๐โ๐๐๐โ๐ข, ๐โ๐ข๐๐๐ก๐ โ๐๐๐๐๐, ๐บ๐๐๐๐โ๐ข, ๐/๐ฝ๐๐๐๐โ๐๐, ๐ฟ๐๐๐๐ ๐ ๐๐๐ ๐๐๐๐๐๐ ๐ ๐๐๐๐๐ข๐๐๐๐ ๐กโ๐ ๐๐๐๐ฃ๐๐ก๐ ๐๐๐๐๐๐๐ ๐ก๐๐ ๐๐๐๐ก๐๐๐ ”. ๐โ๐ ๐๐๐๐๐๐๐๐ก๐๐๐ ๐ท๐๐๐๐๐ก๐๐ ๐๐๐ ๐ ๐๐๐๐ก๐๐๐๐ก๐๐ ๐กโ๐ ๐๐๐๐๐๐ก๐๐๐๐ ๐๐ ๐๐๐๐๐๐ ๐๐๐๐ค๐๐๐ ๐๐๐ ๐ป๐ผ๐ ๐ก๐๐ ๐ก๐๐๐ ๐ก๐ ๐๐๐๐ค ๐ฆ๐๐ข๐ ๐ป๐ผ๐ ๐ ๐ก๐๐ก๐ข๐ ๐๐๐ ๐ก๐๐๐๐๐ฆ ๐๐๐๐ ๐๐๐ ๐ก๐๐๐๐ก๐๐๐๐ก. ๐ป๐ ๐๐ฅ๐๐๐๐๐๐๐ ๐กโ๐๐ก ๐ข๐๐๐๐๐ ๐๐ ๐กโ๐ ๐๐๐ ๐ก, ๐๐๐ค ๐กโ๐๐๐ ๐๐๐ ๐ ๐๐๐๐๐ก๐๐๐๐๐๐๐๐ฆ ๐๐๐๐ฃ๐๐ ๐๐๐๐๐๐ก๐๐ฃ๐ ๐ป๐ผ๐ ๐๐๐๐๐๐๐๐๐ ๐กโ๐๐ก ๐๐๐ ๐๐๐๐ข๐๐ ๐กโ๐ ๐ฃ๐๐๐๐ ๐๐๐๐ ๐๐ ๐กโ๐ ๐๐๐๐ฆ ๐๐๐ ๐๐๐๐๐๐ฃ๐ ๐กโ๐ ๐๐๐๐ข๐๐ ๐ ๐ฆ๐ ๐ก๐๐ ๐๐ ๐กโ๐ ๐๐ฟ๐ป๐ผ๐. ๐ป๐๐ค๐๐ฃ๐๐, โ๐ ๐๐๐ข๐ก๐๐๐๐๐ ๐๐ก ๐๐ ๐๐๐๐๐๐ก๐๐๐ก ๐ก๐ ๐๐๐๐ค ๐กโ๐๐ก ๐ก๐๐๐๐๐ฆ ๐ก๐๐ ๐ก๐๐๐ ๐๐ ๐กโ๐ ๐๐๐๐ฆ ๐๐๐๐๐ ๐ก๐ ๐๐๐๐ค ๐ฆ๐๐ข๐ ๐ป๐ผ๐ ๐ ๐ก๐๐ก๐ข๐ ๐ก๐ ๐๐๐๐ก๐๐๐ก๐ ๐๐๐๐๐ฆ ๐ก๐๐๐๐ก๐๐๐๐ก ๐๐๐ ๐กโ๐๐ก ๐๐๐๐ ๐๐โ๐๐๐๐๐๐ ๐ก๐ ๐กโ๐ ๐ก๐๐๐๐ก๐๐๐๐ก ๐๐ ๐๐๐๐๐ ๐๐๐๐ ๐๐๐๐ ๐๐๐ ๐๐โ๐๐๐ฃ๐๐๐ ๐๐ ๐๐๐๐๐๐ก๐๐ฃ๐ ๐ก๐๐๐๐ก๐๐๐๐ก ๐๐ข๐ก๐๐๐๐.
As a part of the national HIV and AIDS response, the Ministry of Health will continue to strive hard to bridge the current case detection gap to achieve sustainable development goals to end the AIDS epidemic by 2030. Four key strategies will be implemented to enhance the case diagnosis;
i) phase-wise scaling up of the HIV self-testing and counselling services across the country
ii) implementing the targeted index testing (contact tracing) and partner notification services as a core intervention to efficiently and effectively identify HIV-positive individuals
iii) provider-initiated HIV counselling and testing services will be streamlined and strengthened across the health facilities to enable healthcare providers to provide HIV testing to any persons attending health care facilities as a standard component of medical care
iv) strengthen the routine surveillance systems in the hospitals across the country to meet the requirement of the elimination of Mother to Child Transmission of HIV, Syphilis and Hepatitis B by 2025.
In terms of care and treatment, the Ministry of Health will further decentralize the provision of antiretroviral therapy (ART) drugs for the people living with HIV from the district hospital to the primary health centres and other community testing centres for enhanced accessibility. The MoH will also decentralize the viral load testing services from the national referral hospital to eight more district hospitals (Gelephu RRH, Mongar RRH, Phuentsholing, Trashigang, Nganglam, S/Jongkhar, Samtse and Wangdue Phodrang). Viral load tests are used to diagnose acute HIV infection, guide treatment choices, and monitor response to ART. Similarly, CD4 testing services will be scaled up from the existing five districts (Thimphu, Phuentsholing, Gelephu, Mongar and S/Jongkhar) to three more districts (Wangdue Phodrang, Trashigang, and Samtse). CD4 count testing helps assess the progress of the infection and enables health care providers to know whether the infection is under control or at risk of complications. Most importantly, the HIV confirmatory test will be also decentralized from the Royal Center for Disease Control (RCDC) to the regional referral hospitals for timely provision of the HIV confirmation result.
๐น๐๐ ๐๐๐ฆ ๐๐๐๐๐๐๐๐๐๐ก๐๐๐๐ , ๐๐๐๐๐๐ฆ ๐๐๐๐ก๐๐๐ก ๐๐. ๐ฟ๐๐๐๐ฆ ๐พโ๐๐๐๐ข, ๐๐๐๐๐๐๐ ๐๐๐๐๐๐๐, ๐๐๐ก๐๐๐๐๐ ๐ป๐ผ๐, ๐ด๐ผ๐ท๐ & ๐๐๐ผ๐ ๐ถ๐๐๐ก๐๐๐ ๐๐๐๐๐๐๐, ๐ท๐๐๐ป, ๐๐๐ป at +975-17425548/ lkhandu@health.gov.bt
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In the last six months from ๐๐ฎ๐ป๐๐ฎ๐ฟ๐ ๐๐ผ ๐๐๐ป๐ฒ ๐ฎ๐ฌ๐ฎ๐ฎ, the Ministry of Health has detected ๐ฐ๐ฌ ๐ป๐ฒ๐ ๐๐๐ฉ ๐ฐ๐ฎ๐๐ฒ๐
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